nhs orkney consultant surgeon orkney... · introduce a ‘road equivalent tariff’ on the pentland...

19
1 Consultant Surgeon Recruitment and Information Pack NHS Orkney Consultant Surgeon Recruitment and Information Pack Application Reference Number: DW18443 Application Closing Date: Wednesday 15 th November 2017 at midnight Recruitment Team Balfour Hospital New Scapa Road Kirkwall Orkney KW15 1BH 01856 8888186 [email protected] http://nhso.engageats.co.uk/

Upload: others

Post on 16-Apr-2020

7 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

1 Consultant Surgeon Recruitment and Information Pack

NHS Orkney Consultant Surgeon Recruitment and Information Pack Application Reference Number: DW18443 Application Closing Date: Wednesday 15th November 2017 at midnight

Recruitment Team Balfour Hospital

New Scapa Road Kirkwall Orkney

KW15 1BH 01856 8888186

[email protected] http://nhso.engageats.co.uk/

Page 2: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

2 Consultant Surgeon Recruitment and Information Pack

Recruitment Pack Contents

Welcome .................................................................................................................... 3

Introduction to Orkney ............................................................................................. 4

Consultant Opportunities ........................................................................................ 5

Information for Applicants ....................................................................................... 7

Selection Process and Recruitment Timetable ...................................................... 8

Job Description ....................................................................................................... 9

1. Introduction ....................................................................................................... 9

2. Balfour Hospital .............................................................................................. 10

3. Medical Staff .................................................................................................... 11

4. New Hospital ................................................................................................... 12

5. Management Structure ................................................................................... 12

6. Principal duties ............................................................................................... 12

11. Continuing Education and Professional Development (CEPD) ................ 15

12. Research ........................................................................................................ 16

13. Leave .............................................................................................................. 16

14. Other information .......................................................................................... 16

To assist you with your application for the post of Consultant Surgeon, NHS Orkney, this pack provides useful information about NHS Orkney and post information.

Useful websites NHS Orkney

o http://www.ohb.scot.nhs.uk/

Orkney Island Council o http://www.orkney.gov.uk/

Scotlands Health On The Web (SHOW)

o http://www.show.scot.nhs.uk/ NHS Orkney Twitter

o www.Twitter.com/nhsorkney NHS Orkney Facebook

o www.facebook.com/nhsorkney

Page 3: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

3 Consultant Surgeon Recruitment and Information Pack

Welcome Thank you for your interest in our Consultant Surgeon vacancy based in the Balfour, Rural General Hospital at NHS Orkney. We believe working in a rural hospital can be both professionally and personally tremendously rewarding. We pride ourselves in delivering high quality care that is person centred, safe and effective and you would be joining at a time when we are building our state of the art new Hospital. Partnership working with our population, our patients, our staff and teams, and our colleagues in Orkney Islands Council and the third sector is important to us and NHS Orkney also for a number of specialist services rely on Service Level Agreements with other Health Boards. Over recent years NHS Orkney has seen significant changes in the delivery of healthcare. The pace of change continues to accelerate as our committed staff adopt new and innovative ways of working fit for the coming decade. The successful candidates in this post will have a key role in the stabilisation and management of patients until transfer, usually via air ambulance, to a more specialised unit/ITU on the Scottish mainland. There is also an important role in working with the Anaesthetic, Medical and Obstetrics/Gynaecology Teams to optimise the management of patients across a wide range of conditions.

Our new hospital is planned to open in 2019 and we work towards the provision of and investment in our outer island facilities, these developments allow us to drive forward service improvement with confidence. If you believe you can fulfil these roles, we at NHS Orkney look forward to receiving your application.

Marthinus Roos Medical Director NHS Orkney

Page 4: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

4 Consultant Surgeon Recruitment and Information Pack

Introduction to Orkney

Lying off the northern coast of Scotland, between John O’Groats and the Shetland Isles, Orkney is an archipelago of over 70 beautiful islands, 17 of which are inhabited. The total population is approximately 22,000 with most people living on the Mainland. Kirkwall, the capital with its spectacular red sandstone 12th century cathedral, with a population of 7,500, it is the administrative centre of Orkney with a good mix of shops, supermarkets and businesses. Orkney is a wonderful place to live and work and voted the happiest place to live in the UK. Orkney also offers; low pollution, low crime, excellent schools, good leisure facilities, unique wildlife and amazing scenery. Orkneys economy is mainly occupied by the farming industry. Commonly within Orkney Most farmers breed and rear beef cattle of the highest standard, although dairy cows and sheep are also kept. Agriculture is the main industry of the islands and generates some £30 million per year, followed closely by tourism and oil. And fishermen compete with seals and sea birds to enjoy something of the rich bounty provided by the surrounding seas. Orkney is at the forefront of the renewable energy drive in the UK. Wind turbines are dotted around the islands and wave energy research is on-going. In economical terms Orkney hold an impeccable rate of those in employment/seeking, with the percentage of 84.7, the islands statistics are above the average for Scotland and Great Britain. Thus, unemployment levels are again on average lower than Scotland and the UK, in relation to long-term unemployment. Kirkwall is truly a place for children, a great place for a family. The community spirit is amazing. There is so much for children and adults - theatre, drama, dance and ballet classes. Schools in Kirkwall are very good (no private fees). Imagine all of these within walking distance of your home and workplace. And for adults and visiting relatives and friends there is so much to see and do, playing a round of golf, fishing, kayaking, walking, cycling, diving, wind surfing are but a few. The Pickaquoy centre provides a lovely modern well equipped gymnasium and entertainment centre.

Page 5: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

5 Consultant Surgeon Recruitment and Information Pack

CONSULTANT VACANCIES

Dear Prospective Candidate

Have you ever considered working in one of Scotland’s most attractive NHS Island Boards? NHS Orkney is working hard to be the best remote and rural health care provider in the UK – do you want to help us achieve our ambition?

In common with other NHS Boards in Scotland, NHS Orkney is required to provide routine and urgent care whilst at the same time have the infrastructure to be able to respond to life threatening emergencies and in other situations resuscitate, support and care for patients of all ages whilst we wait for emergency retrieval services to transport people to a more appropriate care setting. NHS Orkney in partnership with NHS Highland is looking for Consultants to join its existing talented pool of Consultants as we transform the healthcare landscape of this stunning archipelago. Our new hospital and healthcare facility with state of the art diagnostics will open in 2019. This new facility will have 49 inpatient beds with purpose built emergency, high dependency, diagnostic and theatre facilities. There will be increased technical connectivity to support videoconferencing and telemedicine enabled care.

Cathie Cowan, Chief Executive and Mr Marthinus Roos, Medical Director invite applications from suitable candidates for the post of Consultants in the following specialties:

Anaesthetics (DW18442)

medicine (DW18441)

surgery (DW18443)

Each of these posts requires a certain type of doctor - a generalist who is happy to utilize digital technologies to involve clinical colleagues from outwith the organisation to inform and support decision making when required. Can you see yourself in one of these new roles? These posts require a broad spectrum of clinical skills which for many are greater than those covered by specialty training. To help we have agreed with the Post Graduate Deanery to offer a bespoke training programme to assist consultants to gain the skills required to competently fulfill these roles. Opportunities to spend time working in NHS Grampian and/or NHS Highland together with access to an attractive CPD package will help you maintain your skills.

In return you can expect a person specific contract to meet both your own and NHS Orkney’s needs. For some staff, living in Orkney permanently is not an option and they have opted for a two week time on island and two week off island; accommodation for those entering into this type of contractual arrangement is available. For others who wish to work as volunteers

Page 6: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

6 Consultant Surgeon Recruitment and Information Pack

overseas we are willing to consider a partnership to accommodate your placements. Our ability to offer flexibility makes NHS Orkney an attractive employer. We can and will work with you to meet your needs. Interested, why not get in touch and spend time with us to sample Orkney life and see firsthand our clinical setting and the many opportunities for clinicians working in a remote and rural context. In return, we can arrange a 3 day visit to the Island to support you experience Island life.

For those interested in working with us in NHS Orkney, Orkney lies off the northern coast of Scotland, between John O’Groats and the Shetland Isles. The total population is approximately 22,000 with most people living on the Mainland. Kirkwall, the capital, with a population of 7,500, it is the administrative centre of Orkney with a good mix of shops, supermarkets and businesses.

Orkney is a wonderful place to live and work and voted the happiest place to live in the UK. Orkney also offers low pollution, low crime, excellent schools, good leisure facilities, unique wildlife and amazing scenery. Access to the islands is easy. The recent announcement by the Scottish Government to introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall has several flights a day (just under 1 hour) connecting to the mainland, and with high speed broadband available on the islands, friends and family are just a click away. Homes are very affordable - what might you get for £200,000 in London, Edinburgh, Glasgow or Leeds? For that sort of money, you get 4 bedroom detached homes in the most sought after locations in Kirkwall and the best bit is there being very little traffic anywhere. But don’t take our word for it - come and see for yourself! Please feel free to visit the island and the Balfour Hospital where you will find a very warm welcome.

To find out more about living and working in Orkney got to www.orkney.com or www.visitorkney.com Further information on NHS Orkney can be found at www.ohb.scot.nhs.uk.

For further information on the posts please contact Dr Paul Cooper, Lead Hospital

Clinician on 01856888000, or email: [email protected]

Follow the link for more job details and to apply online http://nhso.engageats.co.uk/ Please note that in order to apply for a position at NHS Orkney the standard NHS application form needs to be completed – CVs are not accepted. Closing date for applications: Wednesday 15th November at midnight

These posts are subject to PVG Scheme Record checks

Page 7: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

7 Consultant Surgeon Recruitment and Information Pack

Information for Applicants NHS Scotland The NHS is one of our nation’s biggest and most important public services. Each day thousands of Scots depend on it for treatment and care. Each day it saves hundreds of lives. The nation’s largest employer, more than 150,000 dedicated and skilled staff work for NHS Scotland. Since devolution, the Scottish Government has been striving to make Scotland healthier for all of us. The work undertaken by the 14 territorial NHS Boards across the country provides the strategic framework to ensure that the management of our healthcare is more efficient, more accountable and more effective. These Boards bring together key partners to deliver healthcare. One of the main functions of these different bodies is to put government policies into practice in the best way possible. An NHS Board is a board of governance, which has responsibility for issues such as health improvement, strategic planning and resource allocation. NHS Orkney The smallest of the territorial Boards, NHS Orkney employs circa 567 substantive employees. The Board Comprises of 15 Members:

o The Board Chairperson o 6 Non- Executive Members o 2 Stakeholder Members

- Employee Director - Chair of Clinical Forum

o 5 Executive members - Chief Executive - Director of Finance - Medical Director - Director of Public Health - Director of Nursing, Midwifery and Allied Health Professionals - Director of Workforce (in attendance) joint post with NHS Grampian

The Non-Executive members are lay-people who are invited to sit on the Board. These people generally have other jobs but they receive some remuneration for activities involving their Health Board duties.

Page 8: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

8 Consultant Surgeon Recruitment and Information Pack

Selection Process and Recruitment Timetable

KEY NOTE DATES

Recruitment Stage Planned Date

Recruitment Advert opens Wednesday 18th October 2017

Closing date for returned applications Wednesday 15th November 2017

Shortlisting to take place Thursday 16th November and Friday 17th November 2017

Candidates informed to advise of outcome of Shortlisting

Tuesday 21st November 2017

Shortlisted Candidates will be invited to participate in the following:

Meet and greet, tour of the hospital and panel interviews

December 2017 – dates to be confirmed

Special Requirements for Selection Events

Where appropriate NHS Orkney is fully supportive in discussing making any reasonable adjustments to the recruitment process to ensure no candidate is disadvantaged as a result of a disability or any other health condition.

Page 9: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

9 Consultant Surgeons Recruitment and Information Pack

Job Description

TITLE: Consultant General Surgeon

LOCATION: Balfour Hospital, Kirkwall, Orkney

1. Introduction

NHS Orkney is at the forefront of developing sustainable and cost-effective care in a remote

and rural environment. The successful candidates will have the opportunity to participate in

the challenge of providing this evolving service in a Remote and Rural General Hospital as

well as being linked into a networked service for professional development, clinical practice

and support with NHS Grampian.

The posts are based at the Balfour Hospital in Kirkwall, which serves the population of circa

20,000 across the islands served by NHS Orkney..

The post requires a broad spectrum of clinical skills in the management of the full range of

general surgical presentations. Sub-specialist surgical emergencies, as well as obstetric,

orthopaedic, vascular, and urological emergencies, as can be expected to occur in a remote

area where transport to specialist centres are hours away, and can sometimes be delayed

for many hours due to weather conditions..

The post calls for enthusiasm and adaptability, providing surgical services for patients of all

ages undergoing both elective and emergency procedures at the Balfour Hospital. In

addition, the post holder will have a key role in the stabilisation and management of patients

until transfer, usually via air ambulance, to a more specialised unit/ ITU on the Scottish

mainland. There is also an important role in working with the Anaesthetic, Medical and

Obstetrics/Gynaecology Teams to optimise the management of surgical patients

The post provides an opportunity to enjoy an outstanding quality of life as part of a vibrant

and forward thinking community, in an area of superb natural beauty, heritage and culture

which also enjoys subsidised and frequent air and sea links to mainland Scotland.

Page 10: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

10 Consultant Surgeons Recruitment and Information Pack

2. Balfour Hospital

Bed complement: 47 beds (not including Day Surgery):

Acute ward - medical and surgical 23 beds

High Dependency Unit 2 beds

Day Surgery Unit 6 beds

Maternity Unit - 4 beds

Macmillan Unit - 4 beds

Continuing Care, Rehabilitation, Dementia Assessment, Mental Health 14 beds

The fully equipped Theatre Suite is fitted out with newly acquired surgical and monitoring

equipment. There is an A&E/Receiving Area and short-stay bay, resuscitation facilities and

general assessment bays for receiving both acute admissions and minor injuries

presentations. A High Dependancy Unit is adjacent to A&E. Visiting Consultants provide

Ophthalmology, ENT and Oral Surgery during their visits.

Across the whole hospital, enthusiastic and adaptable Nursing and Allied Health

Professional staff have experience, and in some cases extended skills, in order to meet the

generalist approach to care in Orkney.

Waiting lists and waiting times are small in comparison to the Scottish Mainland as would be

expected with the local population count. There is sufficient capacity within the hospital and

the vast majority of patients are managed within the required waiting times. Suspected

cancer and urgent cancer referrals are almost all jointly managed with NHS Grampian, with

opportunities to participate in the regional Multidisciplinary Team meetings that have been

put in place for this.

Medical Services for adults and children are designed to be appropriate for a non-specialist

unit. The Critical Care Team, which is composed of nursing staff, the Medical Team,

Surgeons and Anaesthetists, are responsible for the resuscitation, stabilisation and ongoing

management of critically ill patients, with air ambulance evacuation of adults (by the

Emergency Medical Retrieval Service) or by the nation-wide paediatric and neonatal retrieval

teams.

Visiting Consultants from mostly Grampian and Highland Health Board Areas support a wide

range of additional specialist clinics.

Support services include Laboratory, Blood Transfusion and Radiological services (including

diagnostic ultrasound), Physiotherapy and Occupational Therapy departments.

Page 11: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

11 Consultant Surgeons Recruitment and Information Pack

Cancer and Palliative care services are provided in Macmillan House by the patient’s own

GP, supported by a multidisciplinary team.

A new CT scanner has recently been installed to provide scheduled and emergency CT

scans, and will be fully operational shortly to provide a 24/7 service.

3. Medical Staff

This recruitment is for 2 Consultant Surgeon posts to bring the number of surgeons to 3.

Currently, there is an establishment of 2 WTE Consultant General Surgeons, of which

one will become vacant shortly. The consultant posts are supported by one part-time

Clinical Assistant, and one junior doctor allocated to the surgical department on a rolling

basis. A part time Orthopaedic Surgeon performs a limited range of procedures. The majority

of the elective workload is day-case surgery, with endoscopy a major component.

Emergency surgery includes surgical and orthopaedic emergencies, as well as caesarean

sections. A recently developed High Dependency Unit is available to manage complex

emergency patients, who tend to be transferred to larger centres, as the capability to

manage such patients on island is limited.

The Anaesthetic Team complement is 3.4 WTE Consultants.

Consultant physicians provide medical care. The service is provided by Consultants who

have flexible working arrangements, but equivalent to 3 fulltime posts.

Obstetrics and Gynaecology is provided by 2 fulltime O&G Consultants, supported by a

GP with Special Interest in Obstetrics.

Hospital at Night care, as well as support for the consultant led services during daytimes are

provided by a Non-Consultant rota of Specialty Doctors and GPST trainees.

Visiting Consultants from predominantly NHS Grampian and NHS Highland Health Boards

support a wide range of additional specialist out-patient clinics and some elective theatre

lists (ENT, Oral Surgery, Ophthalmology).

Support services include laboratory and radiological services and CT scanner. There is a

range of AHP services available, including physiotherapy and occupational therapy

departments. An Intermediate Care Team service provides support for patients across the

hospital and those returning from external Boards.

There is a wealth of opportunity to teach staff across the organisation, including those in

training. Providing a comprehensive teaching service, and engendering good links to

Page 12: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

12 Consultant Surgeons Recruitment and Information Pack

practice and teaching opportunities with mainland colleagues are essential to sustaining

services on island and reducing professional isolation.

4. New Hospital

The construction phase of our innovative new hospital and healthcare facilitity are far

advanced. This will bring the hospital, the Kirkwall GP practices, community nurses, the

community mental team, AHPs and dentistry all under one roof

5. Management Structure

NHS Orkney Board is accountable for the provision of healthcare across primary and

secondary care. Integration of health and social care in Orkney is currently in the planning

stages,, and this will improve the care given to patients, especially those that make use of

both services.

Formal medical representation at board level is through the Medical Director and the

Chairman of the Area Medical Committee. It is Health Board philosophy to involve and

integrate senior clinicians into all relevant major aspects of health care management and

strategy.

6. Principal duties

The main duties and responsibilities of the posts include: -

1. Provide General Surgical Services in accordance with modern evidence based practice

and current guidelines to the people of Orkney. The post is based in the Balfour Hospital

in Orkney in a network with Grampian, delivering acute and elective surgical services,

providing specialist advice and clinical intervention where required.

2. A broad range of General Surgical skills, including emergency interventional endoscopy

skills to allow dealing with GI bleeding are essential for this post.

3. Skills in managing emergency obstetric, orthopaedic and urology care, as well as

selected elective procedures in these disciplines is highly desirable, and training to gain

these skills after appointment can be arranged.

4. Follow-up of patients managed by various mainland surgical services are provided, if

appropriate.

5. The service is provided on a 24/7 hour basis and will include a 1:3 on-call rota for

Orkney. There is an 8% allowance for this level of on-call. It is expected that the surgeon

on call will not be involved in elective theatre or clinic activities.

Page 13: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

13 Consultant Surgeons Recruitment and Information Pack

6. Locum cover will only be available for sickness and occasional unplanned absences.

7. Under normal circumstances leave will not be granted to more than 1 person at a time.

8. There is close cooperation with the Emergency Medical Retrieval Service operating from

Glasgow for retrieval of patients destined for intensive care on the Scottish mainland, or

with retrieval services for Neonate, Paediatric, Obstetrics and Mental Health patients

where appropriate.

9. The contract will be for 8+2 sessions (8 PAs, and 2SPA).

10. Two Extra Programmed Activity sessions are available for negotiation, and will be

included in the Job Plan if agreed. This time will include Clinical Governance, Patient

Safety, Clinical Reviews, Leadership and Audit activity. Further sessions for non-clinical

activities can be negotiated. The postholder will participate in the management of the

department.

11. Responsibility for the supervision and education of multi-disciplinary colleagues,

including trainee doctors and medical students, are expected, where appropriate. This

will include both formal education programmes, and fostering by example an atmosphere

within the hospital which encourages engagement, learning and continuous

improvement. It is expected that the post- holder will complete a course such as Training

the Trainees to enable compliance with the upcoming GMC requirements to train junior

doctors.

12. Participation in annual appraisal, revalidation and licensing, and CPD to maintain and

refresh skills and competencies are required.

13. A requirement to undertake other appropriate clinical work on behalf of NHS Orkney

such as participation in Major Incident Planning and supporting work around future

service design options is required

14. Implementation of the clinical strategy of “Our Orkney, Our Health”

(http://www.ohb.scot.nhs.uk/images/pdf/Board%20Paper%20Our%20Orkney%20Our%2

0Health%20June%202009.pdf) will require participation in the development and renewal

of clinical care models in preparation for the building of a new hospital.

15. The appointees will be expected to participate in medical audit and other aspects of

clinical governance, patient safety and continuing medical education, as well as to help

establish clinical effectiveness systems, taking action to improve the quality of service,

and to report any significant deficiencies so that joint remedial action can be taken.

Active participation in documented regular Mortality and Morbidity meetings is

Page 14: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

14 Consultant Surgeons Recruitment and Information Pack

mandatory. It is required to work with local managers and professional colleagues in the

efficient running of services, and to manage local waiting times and other service

delivery targets and guarantees in order to ensure the quality delivery of surgical

services. Adherence to guidelines such as infection control, hand hygiene, dress code,

antibiotic usage, DVT prophylaxis, Information Governance and sharing, protection of

vulnerable adults and children, and many more, is mandatory.

16. An expectation to share with Consultant colleagues in the surgical contribution to

management of the service as well as leading on policy and protocol development and

implementation.

17. To be aware of National recommendations and frameworks which impact on such

services, making recommendations as to this which require to be considered for local

implementation.

18. Work to ensure future Government elective, cancer and urgent waiting time targets will

be met.

19. To establish effective working relationship and communication links with colleagues

across Scotland, especially in NHS Grampian and NHS Highlan, but also other Boards

working in similar environments e.g. NHS Shetland and NHS Western Isles.

20. Subject to the provisions of Terms and Conditions of Service, there is a requirement to

observe the Board’s agreed Policies and Procedures, drawn up in consultation with the

profession on clinical matters, and to follow the standing orders and financial instructions

of the NHS Orkney Board; in particular, in formally managing employees of the Board,

there is the requirement to follow the local and national employment and personnel

policies and procedures.

21. A requirement to respond positively to appropriate requests for assistance wherever

possible in the event of a major incident or other event where surgical or professional

expertise is felt to be advantageous.

22. A requirement to work within the strategy developed by NHS Orkney promoting closer

integration of services and closer working relationships, both between disciplines, and

with partner agencies, to ensure patient centred care.

23. The candidates will be expected to take part in the activities of various committees, such

as the Resuscitation committee, the Drug and Therapeutics Committee, the Area

Medical Committee and others

Page 15: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

15 Consultant Surgeons Recruitment and Information Pack

9. Special Interests and Skills

As immediate management of Major and Minor Trauma is an integral part of the emergency

workload the post holder will be expected to be competent to manage such cases in

conjunction with other senior clinical colleagues. ATLS certification is essential, and

appropriate training will be encouraged either prior to or shortly after employment. There are

opportunities to develop other clinical services in conjunction with NHS Grampian, which will

enable local service delivery.

10. Consultant Work Programme

The weekly timetable of fixed commitments for this post will be dependent on other surgical

colleagues’ work programme and also the arrangements for visiting services.

11. Continuing Education and Professional Development (CEPD)

The Board recognises this as a crucial aspect of the appointment, as part of its provision of

high-quality health care and responsibility for clinical governance. CEPD is undertaken not

only in line with objectives agreed at appraisal, but also as part of departmental service

development.

CEPD programmes are encouraged and take full advantage of study leave opportunities.

Requests are considered flexibly to allow for the difficulties of off-island travel. The Board is

at the forefront of videoconference use as an innovative tool to support remote learning.

In recognition of the potential difficulties of professional isolation the Board also looks

favourably on short secondments to other units, especially should they be designed to

update clinical skills, or to further develop clinical networks. This aspect of the networking

arrangements between NHS Highland and Orkney is being actively developed. The Board

recognises the need to maintain the range of skills of consultants which will allow them to

take up their previous posts.

Quality improvement is regarded as an integral part of the CEPD package. Assistance and

guidance in performing medical audit is available from the Health Intelligence and Clinical

Governance Department. Regular inter-departmental meetings are being developed to

capitalise on local expertise and to enhance cross-fertilisation of knowledge, and

videoconferencing is being explored in order to link into the regular departmental meetings at

Aberdeen.

Page 16: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

16 Consultant Surgeons Recruitment and Information Pack

Outside the hospital, there is an active postgraduate training programme for hospital and

primary care staff and doctors in training and all are encouraged to participate. In addition,

mainland experts are invited at intervals to lecture both to this group and to local symposia.

12. Research

Although research is not included as part of the proposed duties of this post, the Board will

provide active encouragement for the post-holder to pursue any personal research interest

as it would for any area of appropriate professional development.

13. Leave

The post-holder will be entitled to six weeks annual leave per year, in addition to ten days

public holidays (pro-rata). Study leave of thirty days per triennium is allowed, and there is

generous funding budget available for approved study. Innovative working patterns to

accommodate special interests can be discussed within the team following appointment.

There is recognition of the complexities of travel to educational events in mainland UK, and

this is taken into account when study leave is requested. In order to maintain continuity of

care and ensure uninterrupted awareness of local constraints to medical management, leave

requests resulting in more than two Surgical Consultant being absent simultaneously after

successful appointment to these posts will only be granted in exceptional circumstances.

14. Other information

a) In order to participate in the on call rota, Consultants should be no more than 10

miles or 30 minutes travel time from the Balfour Hospital, during their on call period,

unless the Board grants an exemption.

b) The post is classed as exposure prone, and a certificate of immunity against

Hepatitis B and full Occupational Health clearance is required.

c) Full registration as a Medical Practitioner with the General Medical Council as well as

evidence of admission to the Specialist Register is essential.

d) Evidence of successful appraisal is required for all candidates who have been

working in the UK in the last 2 years.

d) Proof of identity and evidence that you are entitled to live and work in the United

Kingdom must be supplied.

e) The Terms and Conditions of Service for Consultant Grade (Scotland) will apply.

Page 17: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

17 Consultant Surgeons Recruitment and Information Pack

TERMS AND CONDITIONS OF EMPLOYMENT

CONSULTANT SURGEON

The appointment will be subject to the Terms and Conditions of Service for Consultant

Grade (Scotland).

1. Location: Balfour Hospital, Kirkwall predominantly (but you may be

required to travel to other locations)

2. Hours of Work: 10 PA’s per week with options to negotiate 2 additional PA’s

which are renegotiated annually (maximum of 48 hours per

week). Supporting Professional Activities, such as CPD,

training, etc is subject to negotiation.

3. Salary: Based on seniority.

May be eligible for discretionary points, depending on direction

from the Scottish Government

A Distant Islands Allowance of £1,000 is also payable.

4. Tenure: Permanent

5. Notice Period: 3 months from either party.

6. Annual Leave: 30 working days per annum (pro rata)

7. Public Holidays: 10 statutory public holidays each year (pro rata)

8. No Smoking: Smoking by staff is prohibited on NHS Orkney property.

9. Confidentiality: All information regarding patients, staff personal information

that employees may learn in the course of their duties must be

treated as confidential. Unauthorised disclosure may lead to

disciplinary action.

10. Pension: The appointment is superannuable under the NHS (Scotland)

Superannuation Scheme unless the post-holder opts out in

favour of another scheme or is ineligible to join.

11. Relocation: This post is eligible for removal expenses and benefits in

accordance with the Board’s Relocation Policy.

Page 18: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

18 Consultant Surgeons Recruitment and Information Pack

12. Health Screening: All offers of appointment are subject to an Occupational Health

screening undertaken by the Board’s in-house service.

Candidates invited for an interview will be provided with a

medical questionnaire for completion and may be asked to have

a medical examination.

The post is exposure prone, and evidence of immunity to

Hepatitis B is required

Page 19: NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall

19 Consultant Surgeon Recruitment and Information Pack